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BRADFORD SODOWICK MD NPI 1962491522


NPI Information

NPI: 1962491522
Provider Name: BRADFORD SODOWICK, MD
Classification: Special Hospital - 284300000X
Entity Type: Individual
Address:
3400 CIVIC CENTER BLVD
PCAM A-5 UPHS
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 615-3222
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Bradford Sodowick, MD is a special hospital in Philadelphia, PA. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. Bradford Sodowick, MD NPI is 1962491522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3400 CIVIC CENTER BLVD
PCAM A-5 UPHS
PHILADELPHIA, PA
ZIP 19104-127
Phone: (215) 615-3222

The enumeration date for this NPI number is 10/17/2005 and was last updated on 10/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1284300000XSpecial HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G63566MEDICARE UPIN
2005628LWHMEDICARE ID-TYPE UNSPECIFIED
37485409MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.